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employment-application
Application
Future Opportunities
Name
(Required)
Name
(Required)
Phone
Phone
Email
(Required)
Email
(Required)
Street
Street
City
City
State/Province
State/Province
Zip/Postal Code
Zip/Postal Code
If hired can you provide evidence of legal eligibility to work in the U.S.
(Required)
Yes
No
Position Desired?
(Required)
Waiter/Waitress
Host/Hostess
Bartender
Bar-back
Management
What is your salary requirement (if any)?
What is your salary requirement (if any)?
Full Time or Part Time?
(Required)
Full Time
Part Time
Have you ever been conviceted of a felony, or misdemeanor involving any violent act, use or possession of a weapon, or act of dishonesty for which the record has not been sealed or expunged, or do you have such a case pending?
(Required)
Yes
No
If yes, when?
If yes, when?
If yes, where?
If yes, where?
Date that you can begin work:
(Required)
Are you 18 years of age or older?
(Required)
Yes
No
Name of high school attended:
(Required)
Name of high school attended:
(Required)
City and State of high school:
(Required)
City and State of high school:
(Required)
Graduate?
(Required)
Yes
No
GED?
(Required)
Yes
No
Graduated
Name of college or technical school:
Name of college or technical school:
City & State of colllege or technical school:
City & State of colllege or technical school:
Graduate?
Yes
No
Degree:
Degree:
Major:
Major:
Are you presently enrolled in school?
(Required)
Yes
No
If yes, give name & address of school and expected graduation date:
If yes, give name & address of school and expected graduation date:
Do you have your own transportation?
Yes
No
List any job-related skills or acomplishments, including military service:
List any job-related skills or acomplishments, including military service:
What is your availability for work?
(Required)
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
List reference that we can contact:
(Required)
List reference that we can contact:
(Required)
How do you know them, and for how long?
(Required)
How do you know them, and for how long?
(Required)
Phone Number
(Required)
Phone Number
(Required)
List reference that we can contact:
List reference that we can contact:
How do you know them, and for how long?
(Required)
How do you know them, and for how long?
(Required)
Phone Number
(Required)
Phone Number
(Required)
List reference that we can contact:
List reference that we can contact:
How do you know them, and for how long?
(Required)
How do you know them, and for how long?
(Required)
Phone Number
(Required)
Phone Number
(Required)
Name of Employer:
Name of Employer:
Job Title/Duties
Job Title/Duties
Address
Address
City/State/Zip
City/State/Zip
Dates of Employment (From When - To When):
Dates of Employment (From When - To When):
Supervisor name and phone number:
Supervisor name and phone number:
Hourly pay or salary (Starting pay & ending pay):
Hourly pay or salary (Starting pay & ending pay):
Reason for leaving:
Reason for leaving:
Name of Employer:
Name of Employer:
Job Title/Duties
Job Title/Duties
Address
Address
City/State/Zip
City/State/Zip
Dates of Emloyment (From When - To When):
Dates of Emloyment (From When - To When):
Supervisor name and phone number:
Supervisor name and phone number:
Hourly pay or salary (Starting pay & ending pay):
Hourly pay or salary (Starting pay & ending pay):
Reason for leaving:
Reason for leaving:
Name of Employer:
Name of Employer:
Job Title/Duties
Job Title/Duties
Address
Address
Dates of Emloyment (From When - To When):
Dates of Emloyment (From When - To When):
City/State/Zip
City/State/Zip
Supervisor name and phone number:
Supervisor name and phone number:
Hourly pay or salary (Starting pay & ending pay):
Hourly pay or salary (Starting pay & ending pay):
Reason for leaving:
Reason for leaving:
By putting your name in this box, you are electronically signing this application:
(Required)
By putting your name in this box, you are electronically signing this application:
(Required)
Submit
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